Skip to main content
Erschienen in: Child's Nervous System 12/2019

30.10.2019 | Case Report

Primary bulbo-medullary glioblastoma in a child: case report

verfasst von: F. Lakhdar, M. Benzagmout, K. Chakour, F. M. Chaoui

Erschienen in: Child's Nervous System | Ausgabe 12/2019

Einloggen, um Zugang zu erhalten

Abstract

Glioblastoma (GBM) of the spinal cord represents a rare entity in children and account for less than 1% of all central nervous system (CNS) cancers. Their biology, localization, and controversial treatment options have been discussed in a few pediatric cases. Here, we report a case of primary spinal cord glioblastoma in a 5-year-old girl having the particularity to be extended to the brainstem. This tumor has been revealed by torticollis and bilateral brachial paresis. The patient underwent subtotal resection; unfortunately, she died in reanimation 1 week later by severe pneumopathy. To the best of our knowledge, this is the first case in the literature reporting this particular localization in a child. Beyond their dismal prognosis, we discuss the rarity of the disease and describe the peculiar characteristics, management, and prognosis of this rare tumor in pediatric oncology. This case appears to be unusual for both the histological type and the extension to brain stern.
Literatur
1.
Zurück zum Zitat Adams H, Avendano J, Raza SM, Gokaslan ZL, Jallo GI, Quinones-Hinojosa A (2012) Prognostic factors and survival in primary malignant astrocytomas of the spinal cord: a population-based analysis from 1973 to 2007. Spine 37(12):E727–E735CrossRef Adams H, Avendano J, Raza SM, Gokaslan ZL, Jallo GI, Quinones-Hinojosa A (2012) Prognostic factors and survival in primary malignant astrocytomas of the spinal cord: a population-based analysis from 1973 to 2007. Spine 37(12):E727–E735CrossRef
2.
Zurück zum Zitat Adams H, Adams HH, Jackson C, Rincon-Torroella J, Jallo GI, Quiñones-Hinojosa A (2016) Evaluating extent of resection in pediatric glioblastoma: a multiple propensity score-adjusted population-based analysis. Childs Nerv Syst 32:493–503CrossRef Adams H, Adams HH, Jackson C, Rincon-Torroella J, Jallo GI, Quiñones-Hinojosa A (2016) Evaluating extent of resection in pediatric glioblastoma: a multiple propensity score-adjusted population-based analysis. Childs Nerv Syst 32:493–503CrossRef
3.
Zurück zum Zitat Ansari M, Nasrolahi H, Kani AA, Mohammadianpanah M, Ahmadloo N, Omidvari S et al (2012) Pediatric glioblastoma multiforme: a single-institution experience. Indian J Med Paediatr Oncol 33:155–160CrossRef Ansari M, Nasrolahi H, Kani AA, Mohammadianpanah M, Ahmadloo N, Omidvari S et al (2012) Pediatric glioblastoma multiforme: a single-institution experience. Indian J Med Paediatr Oncol 33:155–160CrossRef
4.
Zurück zum Zitat Bonde V, Balasubramaniam S, Goel A (2008) Glioblastoma multiforme of the conus medullaris with holocordal spread. J Clin Neurosci 15(5):601–603CrossRef Bonde V, Balasubramaniam S, Goel A (2008) Glioblastoma multiforme of the conus medullaris with holocordal spread. J Clin Neurosci 15(5):601–603CrossRef
5.
Zurück zum Zitat Caroli E, Salvati M, Ferrante L (2005) Spinal glioblastoma with brain relapse in a child: clinical considerations. Spinal Cord 43(9):565–567CrossRef Caroli E, Salvati M, Ferrante L (2005) Spinal glioblastoma with brain relapse in a child: clinical considerations. Spinal Cord 43(9):565–567CrossRef
6.
Zurück zum Zitat Ciappetta P, Salvati M, Capoccia G et al (1991) Spinal glioblastoma: report of seven cases and review of the literature. Neurosurgery 28:302–306CrossRef Ciappetta P, Salvati M, Capoccia G et al (1991) Spinal glioblastoma: report of seven cases and review of the literature. Neurosurgery 28:302–306CrossRef
7.
Zurück zum Zitat Fayçal L, Mouna B, Najia EA (2017) Rare case of conus medullaris glioblastoma multiforme in a teenager. Surg Neurol Int 8:234CrossRef Fayçal L, Mouna B, Najia EA (2017) Rare case of conus medullaris glioblastoma multiforme in a teenager. Surg Neurol Int 8:234CrossRef
8.
Zurück zum Zitat Hernández-Durán S, Bregy A, Shah AH, Hanft S, Komotar RJ (2015) Manzano GR Primary spinal cord glioblastoma multiforme treated with temozolomide. J Clin Neurosci 22(12):1877–1882CrossRef Hernández-Durán S, Bregy A, Shah AH, Hanft S, Komotar RJ (2015) Manzano GR Primary spinal cord glioblastoma multiforme treated with temozolomide. J Clin Neurosci 22(12):1877–1882CrossRef
9.
Zurück zum Zitat Johnson DL, Schwarz S (1987) Intracranial metastases from malignant spinal-cord astrocytoma. Case report. J Neurosurg 66:621–625CrossRef Johnson DL, Schwarz S (1987) Intracranial metastases from malignant spinal-cord astrocytoma. Case report. J Neurosurg 66:621–625CrossRef
10.
Zurück zum Zitat Kaatsch P, Rickert CH, Kuhl J, Schuz J, Michaelis J (2001) Population-based epidemiologic data on brain tumors in German children. Cancer 92(12):3155–3164CrossRef Kaatsch P, Rickert CH, Kuhl J, Schuz J, Michaelis J (2001) Population-based epidemiologic data on brain tumors in German children. Cancer 92(12):3155–3164CrossRef
11.
Zurück zum Zitat Khalil J, Chuanying Z, Qingb Z, Belkacémi Y, Mawei J (2017) Primary spinal glioma in children: results from a referral pediatric institution in Shanghai. Cancer Radiother 21(4):261–266CrossRef Khalil J, Chuanying Z, Qingb Z, Belkacémi Y, Mawei J (2017) Primary spinal glioma in children: results from a referral pediatric institution in Shanghai. Cancer Radiother 21(4):261–266CrossRef
12.
Zurück zum Zitat Kim WH, Yoon SH, Kim CY, Kim KJ, Lee MM, Choe G et al (2011) Temozolomide for malignant primary spinal cord glioma: an experience of six cases and a literature review. J Neurooncol 101:247–254 (Erratum in J Neurooncol101:255, 2011)CrossRef Kim WH, Yoon SH, Kim CY, Kim KJ, Lee MM, Choe G et al (2011) Temozolomide for malignant primary spinal cord glioma: an experience of six cases and a literature review. J Neurooncol 101:247–254 (Erratum in J Neurooncol101:255, 2011)CrossRef
13.
Zurück zum Zitat Konar SK, Bir SC, Maiti TK, Nanda A (2017) A systematic review of overall survival in pediatric primary glioblastoma multiforme of the spinal cord. J Neurosurg Pediatr 19(2):239–248CrossRef Konar SK, Bir SC, Maiti TK, Nanda A (2017) A systematic review of overall survival in pediatric primary glioblastoma multiforme of the spinal cord. J Neurosurg Pediatr 19(2):239–248CrossRef
15.
Zurück zum Zitat Lam S, Lin Y, Melkonian S (2012) Analysis of risk factors and survival in pediatric high-grade spinal cord astrocytoma: a population-based study. Pediatr Neurosurg 48:299–305CrossRef Lam S, Lin Y, Melkonian S (2012) Analysis of risk factors and survival in pediatric high-grade spinal cord astrocytoma: a population-based study. Pediatr Neurosurg 48:299–305CrossRef
16.
Zurück zum Zitat Liu J, Zheng M, Yang W, Lo SL, Huang J (2018 Sep) Impact of surgery and radiation therapy on spinal high-grade gliomas: a population-based study. J Neuro-Oncol 139(3):609–616CrossRef Liu J, Zheng M, Yang W, Lo SL, Huang J (2018 Sep) Impact of surgery and radiation therapy on spinal high-grade gliomas: a population-based study. J Neuro-Oncol 139(3):609–616CrossRef
17.
Zurück zum Zitat Lober R, Sharma S, Bell B, Free A, Figueroa R, Sheils CW et al (2010) Pediatric primary intramedullary spinal cord glioblastoma. Rare Tumors 2:e48CrossRef Lober R, Sharma S, Bell B, Free A, Figueroa R, Sheils CW et al (2010) Pediatric primary intramedullary spinal cord glioblastoma. Rare Tumors 2:e48CrossRef
18.
Zurück zum Zitat McGirt MJ, Goldstein IM, Chaichana KL, Tobias ME, Kothbauer KF, Jallo GI (2008) Extent of surgical resection of malignant astrocytomas of the spinal cord: outcome analysis of 35 patients. Neurosurgery 63:55–61CrossRef McGirt MJ, Goldstein IM, Chaichana KL, Tobias ME, Kothbauer KF, Jallo GI (2008) Extent of surgical resection of malignant astrocytomas of the spinal cord: outcome analysis of 35 patients. Neurosurgery 63:55–61CrossRef
19.
Zurück zum Zitat Minehan KJ, Brown PD, Scheithauer BW, Krauss WE, Wright MP (2009) Prognosis and treatment of spinal cord astrocytoma. Int J Radiat Oncol Biol Phys 73:727–733CrossRef Minehan KJ, Brown PD, Scheithauer BW, Krauss WE, Wright MP (2009) Prognosis and treatment of spinal cord astrocytoma. Int J Radiat Oncol Biol Phys 73:727–733CrossRef
20.
Zurück zum Zitat Mori K, Imai S, Shimizu J, Taga T, Ishida M, Matsusue Y (2012) Spinal glioblastoma multiforme of the conus medullaris with holocordal and intracranial spread in a child: a case report and review of the literature. Spine J 12(1):e1–e6CrossRef Mori K, Imai S, Shimizu J, Taga T, Ishida M, Matsusue Y (2012) Spinal glioblastoma multiforme of the conus medullaris with holocordal and intracranial spread in a child: a case report and review of the literature. Spine J 12(1):e1–e6CrossRef
21.
Zurück zum Zitat Narayana A, Kunnakkat S, Chacko-Mathew J, Gardner S, Karajannis M, Raza S, Wisoff J, Weiner H, Harter D, Allen J (2010) Bevacizumab in recurrent high grade pediatric gliomas. Neuro-Oncology 12:985–990CrossRef Narayana A, Kunnakkat S, Chacko-Mathew J, Gardner S, Karajannis M, Raza S, Wisoff J, Weiner H, Harter D, Allen J (2010) Bevacizumab in recurrent high grade pediatric gliomas. Neuro-Oncology 12:985–990CrossRef
22.
Zurück zum Zitat O’Halloran PJ, Farrell M, Caird J, Capra M, O’Brien D (2001) Paediatric spinal glioblastoma: case report and review of therapeutic strategies. Childs Nerv Syst 29:367–374CrossRef O’Halloran PJ, Farrell M, Caird J, Capra M, O’Brien D (2001) Paediatric spinal glioblastoma: case report and review of therapeutic strategies. Childs Nerv Syst 29:367–374CrossRef
23.
Zurück zum Zitat Perkins SM, Rubin JB, Leonard JR, Smyth MD (2011) El NaqaI, Michalski JM, et al: Glioblastoma in children: a single institution experience. Int J Radiat Oncol Biol Phys 80:1117–1121CrossRef Perkins SM, Rubin JB, Leonard JR, Smyth MD (2011) El NaqaI, Michalski JM, et al: Glioblastoma in children: a single institution experience. Int J Radiat Oncol Biol Phys 80:1117–1121CrossRef
24.
Zurück zum Zitat Pollack IF (2004) Intramedullary spinal cord astrocytomas in children. Pediatr Blood Cancer 43:617–618CrossRef Pollack IF (2004) Intramedullary spinal cord astrocytomas in children. Pediatr Blood Cancer 43:617–618CrossRef
25.
Zurück zum Zitat Prasad GL, Borkar SA, Subbarao KC, Suri V, Mahapatra AK (2012) Primary spinal cord glioblastoma multiforme: a report of two cases. Neurol India 60:333–335CrossRef Prasad GL, Borkar SA, Subbarao KC, Suri V, Mahapatra AK (2012) Primary spinal cord glioblastoma multiforme: a report of two cases. Neurol India 60:333–335CrossRef
26.
Zurück zum Zitat Raco A, Esposito V, Lenzi J, Piccirilli M, Delfini R, Cantore G (2005) Long-term follow-up of intramedullary spinal cord tumors: a series of 202 cases. Neurosurgery 56:972–981PubMed Raco A, Esposito V, Lenzi J, Piccirilli M, Delfini R, Cantore G (2005) Long-term follow-up of intramedullary spinal cord tumors: a series of 202 cases. Neurosurgery 56:972–981PubMed
27.
Zurück zum Zitat Russell DS, Rubinstein LJ (1959) Pathology of tumors of the nervous system. Edward Arnold & Co, London Russell DS, Rubinstein LJ (1959) Pathology of tumors of the nervous system. Edward Arnold & Co, London
28.
Zurück zum Zitat Timmons JJ, Zhang K, Fong J, Lok E, Swanson KD, Gautam S, Wong ET (2018 Dec) Literature review of spinal cord glioblastoma. Am J Clin Oncol 41(12):1281–1287CrossRef Timmons JJ, Zhang K, Fong J, Lok E, Swanson KD, Gautam S, Wong ET (2018 Dec) Literature review of spinal cord glioblastoma. Am J Clin Oncol 41(12):1281–1287CrossRef
29.
Zurück zum Zitat Vanan MI, Eisenstat DD (2014) Management of high-grade gliomas in the pediatric patient: past, present, and future. Neurooncol Pract 1(4):145–157PubMedPubMedCentral Vanan MI, Eisenstat DD (2014) Management of high-grade gliomas in the pediatric patient: past, present, and future. Neurooncol Pract 1(4):145–157PubMedPubMedCentral
30.
Zurück zum Zitat Viljoen S, Hitchon PW, Ahmed R, Kirby PA (2014) Cordectomy for intramedullary spinal cord glioblastoma with a 12 year survival. Surg Neurol Int 5:101CrossRef Viljoen S, Hitchon PW, Ahmed R, Kirby PA (2014) Cordectomy for intramedullary spinal cord glioblastoma with a 12 year survival. Surg Neurol Int 5:101CrossRef
31.
Zurück zum Zitat Wisoff JH, Boyett JM, Berger MS, Brant C, Li H, Yates AJ, McGuire-Cullen P, Turski PA, Sutton LN, Allen JC, Packer RJ, Finlay JL (1998) Current neurosurgical management and the impact of the extent of resection in the treatment of malignant gliomas of childhood: a report of the Children’s Cancer Group trial no. CCG-945. J Neurosurg 89:52–59CrossRef Wisoff JH, Boyett JM, Berger MS, Brant C, Li H, Yates AJ, McGuire-Cullen P, Turski PA, Sutton LN, Allen JC, Packer RJ, Finlay JL (1998) Current neurosurgical management and the impact of the extent of resection in the treatment of malignant gliomas of childhood: a report of the Children’s Cancer Group trial no. CCG-945. J Neurosurg 89:52–59CrossRef
Metadaten
Titel
Primary bulbo-medullary glioblastoma in a child: case report
verfasst von
F. Lakhdar
M. Benzagmout
K. Chakour
F. M. Chaoui
Publikationsdatum
30.10.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 12/2019
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-019-04396-6

Weitere Artikel der Ausgabe 12/2019

Child's Nervous System 12/2019 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.